Association of cesarean section with risk of childhood leukemia: A meta-analysis from an observational study.

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Abstrakt

Tytuł:: Association of cesarean section with risk of childhood leukemia: A meta-analysis from an observational study.
Autorzy:: Yang Y; Department of Gynecology, Ningbo Women and Children's Hospital, Ningbo, Zhejiang, China.
Yu C; The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Fu R; The First Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Xia S; Department of Medicine, Ningbo Women and Children's Hospital, Ningbo, Zhejiang, China.
Ni H; Department of Endocrinology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China.
He Y; The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Zhu K; The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Sun Q; Department of Obstetrics and Gynecology, Ningbo Yinzhou No. 2 Hospital, Ningbo, Zhejiang, China.
Źródło:: Hematological oncology [Hematol Oncol] 2023 Feb; Vol. 41 (1), pp. 182-191. Date of Electronic Publication: 2022 Aug 25.
Typ publikacji:: Meta-Analysis; Journal Article
Język:: English
Imprint Name(s):: Original Publication: Oxford, England : Wiley-Blackwell, c1983-
MeSH Terms:: Leukemia, Myeloid, Acute*/etiology
Precursor Cell Lymphoblastic Leukemia-Lymphoma*/epidemiology
Precursor Cell Lymphoblastic Leukemia-Lymphoma*/etiology
Child ; Humans ; Pregnancy ; Female ; Cesarean Section/adverse effects ; Odds Ratio ; Observational Studies as Topic
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Contributed Indexing:: Keywords: acute lymphoblastic leukemia; cesarean section; childhood leukemia; meta-analysis; mode of delivery
Entry Date(s):: Date Created: 20220824 Date Completed: 20230202 Latest Revision: 20230202
Update Code:: 20240104
DOI:: 10.1002/hon.3070
PMID:: 36000274
: Czasopismo naukowe

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Recent studies suggest that children born via cesarean section (CS) are predisposed to immune-mediated diseases later in life. The association between CS and childhood leukemia was investigated in this meta-analysis of observational studies. Two researchers independently searched PubMed, Web of Science, Embase, and Cochrane Library for literature on the association between CS and childhood leukemia before February 2022. And pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated to determine the link between CS and childhood leukemia. The preliminary search resulted in 1321 articles and 16 articles were finally included after screening. The primary outcome was the risk of leukemia in children born via CS versus those born vaginally. The results revealed that having a CS was associated with an increased risk of childhood leukemia compared to having vaginal section (VS) (OR = 1.07, 95% CI: 1.02-1.13, p = 0.01), especially for acute lymphoblastic leukemia (ALL) (OR = 1.09, 95% CI: 1.03-1.16, p = 0.004). Children delivered via elective CS had a higher risk of ALL (OR = 1.18, 95% CI: 1.07-1.31, p = 0.001), but emergency CS did not. It is worth noting that neither emergency CS nor elective CS were found to be associated with acute myeloid leukemia. Compared to VS, CS increased the risk of leukemia in children, with elective CS significantly increasing ALL risk.
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